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The outcomes of treatment of the proximal humeral fractures with LPHP through a small skin incision on the anterolateral shoulder

Author(s): Geran An

Journal: Journal of Orthopaedics
ISSN 0972-978X

Volume: 4;
Issue: 2;
Date: 2007;
Original page

Keywords: proximal humerus | small incision

AbstractStudy design: Prospective, clinical research.Objectives: to evaluate the clinical, radiographic and fictional outcomes of patients with proximal humerus fractures treated minimal invasive plating osteosynthesis through a anterolateral small incisions.Background: The proximal humerus fractures are traditionally treated with open reduction and internal fixation through pectrodeltoid approaches. There are few literature report about the results of the fractures treated through anterolateral small incisions.Methods and Measures: Sixteen patients with proximal humerusl fractures, 2 patients were of Neer 2-part fracture, 7 of 3-part and 7 of 4-part fractures, were surgically reduced and fixated with locking proximal humerus plates through small anterolateral incision of the shoulder. The operation time, time to bone healing and functional assessments were performed an average follow-up of 6.1 months (range 5- 14 months) to the affected shoulders in 15 pateitns using Constant-Murley scoring system .Results: The mean operation time was 143.75±38.81 min. The mean healing time is 14.85 weeks (range 8-19 weeks). The latest follow-up demonstrated a normal sensation on the lateral arms and a mean anterior flexion of 150.42 degrees (range 120-170 degrees) in the shoulder. According to Constant-Murley scoring system, the mean score of the shoulder was 76.82 points (range 59-89.5 points).Conclusion: This clinical study demonstrated further that surgical treatment of the proximal humerus fractures through a small anterolateral shoulder incision has the advantages of simplifying operative maneuver, reducing tissue damage, shortening bone healing time and improving functional recovery.
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